Full Time Accounts Receivable Specialist-Medical Billing (Pulmonary Associates-Downtown Pavilion)
Lancaster General Hospital
6705 Pulm-Pulmonary Associates
Pulmonary Associates - Administration
Full Time: 40 hrs per week. Mon-Fri Daytime hours. No holidays or weekends.
ATTENTION: Please be aware that, if you are an external applicant, you may need to complete an online assessment as part of the hiring process. This assessment will be sent to the e-mail address that you included in your application. Please note: Some e-mail accounts may receive the assessment e-mail in their junk/spam e-mail. This assessment must be completed within 5 days of receiving it. For more information regarding the assessment, please click HERE.
Monitors and handles outstanding accounts receivable to secure correct insurance payments and minimize outstanding accounts receivable. Minimize insurance claim denials. Audit CPT codes
ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:
- Reviews and resolves Charge Review and Claim Edit Workqueues to correct problems and release claims for insurance processing. Identifies problems with accounts, corrects errors in registration, reviews errors with registration staff to educate and correct future errors.
Reviews and accepts daily insurance and statement files from EPIC.
Works Epremis claim portal daily to correct claim issues and releases claims for electronic insurance submission. Prints paper claims and forwards to insurance companies. Identifies ongoing claim issues and works with Epremis support and EPIC to correct claim processing issues.
Posts manual insurance payments to open accounts, reviews and identifies next payor source and pushes account to next appropriate responsible party. Creates and reconciles daily payment batches and submits to manager for bank deposit. Assists with processing electronic remittance files.
Works Follow Up Workqueues for outstanding claims and denials for office, PFT and sleep claims. Calls insurance companies to resolve outstanding open claims. Processes insurance denials and determines if claim adjustments need completed, accounts need written off or if claims need to be forwarded to self pay for claim resolution.
Works Credit Workqueues. Distributes payments as appropriate and issues refund checks when required.
Researches patient insurance eligibility on insurance internet portals.
Reviews delinquent patient accounts and sends Patient Notices to those accounts that are due for professional collection.
MINIMUM REQUIRED QUALIFICATIONS:
- HS diploma or equivalent (GED)
- One (1) year experience as medical billing clerk/coder is required for this job.
- Epic experience is required
One (1) to two (2) years experience in physician billing/coding.
Experience with Epremis is strongly preferred
Posted on 11/21/2019